MENTAL WELL-BEING AMONG ADOLESCENTS WITH DIABETES DURING THE COVID-19 PANDEMIC

Authors

  • Hooi Peng Cheng Hospital Putrajaya, Malaysia
  • Jeanne Sze Lyn Wong Hospital Putrajaya, Malaysia
  • Nalini M Selveindran Hospital Putrajaya, Malaysia
  • Noor Arliena Mat Amin Hospital Putrajaya, Malaysia
  • Sze Teik Teoh Hospital Putrajaya, Malaysia
  • Pian Pian Tee Hospital Putrajaya, Malaysia
  • Cheng Guang Gan Hospital Putrajaya, Malaysia
  • L Alexis Anand Hospital Putrajaya, Malaysia
  • Janet Yeow Hua Hong Hospital Putrajaya, Malaysia

DOI:

https://doi.org/10.15605/jafes.036.S26

Keywords:

adolescents, mental well-being, covid-19

Abstract

INTRODUCTION
The COVID-19 pandemic has affected millions of lives worldwide causing great psychological stress. Adolescents with diabetes are particularly at risk of mental health issues during these unprecedented times.

METHODOLOGY
A cross-sectional study was conducted among adolescents with type 1 (T1DM) and type 2 diabetes mellitus (T2DM) age 10 to 18 years during the nationwide lockdown from June to December 2020 to assess the impact of COVID-19 on their mental health. We recruited and interviewed 87 participants regarding lifestyle changes, followed by the administration of Depression, Anxiety and Stress Scale (DASS-21).

RESULTS
There were 58 patients with T1DM (30 males, 51.7%) and 29 patients with T2DM (9 males, 31%) who participated in the study. Male gender, T2DM, puberty and presence of anxiety symptoms were associated with deterioration in glycaemic control post-lockdown. There was a deterioration in HbA1c among male and T2DM patients by 0.76% and 0.94% respectively (p=0.013 and 0.004, respectively). HbA1c increase pre- and post-lockdown was observed in patients with anxiety symptoms (9.39 ± 0.49 versus 10.16 ± 0.54%, p=0.028). Patients with stress symptoms showed improvement in their HbA1c (10.00 ± 0.57 versus 9.50 ± 0.063%, p=0.036). The incidence of depressive, anxiety and stress symptoms were detected in 34%, 41% and 26%, respectively in adolescents with no significant difference between T1DM and T2DM. Severe to extremely severe symptoms were seen for the subscale of depression (5.7%), anxiety (11.4%) and stress (6.9%). Lifestyle parameters (meal frequency, Physical Activity Questionnaire score, screen time and sleep duration) did not differ among the groups with or without the depressive, anxiety and stress symptoms.

CONCLUSION
There is a high prevalence of psychological disturbance among adolescents with diabetes during the pandemic. Anxiety was related to poor glycaemic control. Timely psychological assessment and support must be given to our young patients

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Author Biographies

Hooi Peng Cheng, Hospital Putrajaya, Malaysia

Paediatric Endocrine Unit

Jeanne Sze Lyn Wong, Hospital Putrajaya, Malaysia

Paediatric Endocrine Unit

Nalini M Selveindran, Hospital Putrajaya, Malaysia

Paediatric Endocrine Unit

Noor Arliena Mat Amin, Hospital Putrajaya, Malaysia

Paediatric Endocrine Unit

Sze Teik Teoh, Hospital Putrajaya, Malaysia

Paediatric Endocrine Unit

Pian Pian Tee, Hospital Putrajaya, Malaysia

Paediatric Endocrine Unit

Cheng Guang Gan, Hospital Putrajaya, Malaysia

Paediatric Endocrine Unit

L Alexis Anand, Hospital Putrajaya, Malaysia

Paediatric Endocrine Unit

Janet Yeow Hua Hong, Hospital Putrajaya, Malaysia

Paediatric Endocrine Unit

References

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Published

2021-07-28

How to Cite

Cheng, H. P. ., Wong, J. S. L. ., Selveindran, N. M. ., Amin, N. A. M. ., Teoh, S. T. ., Tee, P. P., … Hong, J. Y. H. . (2021). MENTAL WELL-BEING AMONG ADOLESCENTS WITH DIABETES DURING THE COVID-19 PANDEMIC. Journal of the ASEAN Federation of Endocrine Societies, 36, 26. https://doi.org/10.15605/jafes.036.S26

Issue

Section

Abstracts for Oral Presentation | COVID and Endocrine Diseases

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